板球快速投球手的腰痛和腰椎损伤相关的内在变量：一项系统综述。

Intrinsic variables associated with low back pain and lumbar spine injury in fast bowlers in cricket: a systematic review.

作者信息

Farhart Patrick, Beakley David, Diwan Ashish, Duffield Rob, Rodriguez Elizabeth Pickering, Chamoli Uphar, Watsford Mark

机构信息

School of Sport, Exercise and Rehabilitation, Faculty of Health, Human Performance Research Centre, Moore Park Precinct, University of Technology Sydney, Broadway, NSW, 2007, Australia.

Spine Labs, Discipline of Surgery, St. George and Sutherland Campus of the Clinical School, Faculty of Medicine, University of New South Wales, Kogarah, NSW, 2217, Australia.

出版信息

BMC Sports Sci Med Rehabil. 2023 Sep 20;15(1):114. doi: 10.1186/s13102-023-00732-1.

DOI:10.1186/s13102-023-00732-1

PMID:37730648

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10512628/

Abstract

BACKGROUND

Lumbar spine injuries in fast bowlers account for the greatest missed playing time in cricket. A range of extrinsic and intrinsic variables are hypothesised to be associated with low back pain and lumbar spine injury in fast bowlers, and an improved understanding of intrinsic variables is necessary as these may alter load tolerance and injury risk associated with fast bowling. This review critically evaluated studies reporting intrinsic variables associated with low back pain and lumbar spine injury in fast bowlers and identified areas for future investigation.

METHODS

OVID Medline, EMBASE, SPORTDiscus, CINAHL, Web of Science and SCOPUS databases were last searched on 3 June 2022 to identify studies investigating intrinsic variables associated with low back pain and lumbar spine injury in cricket fast bowlers. Terms relevant to cricket fast bowling, and intrinsic variables associated with lumbar spine injury and low back pain in fast bowlers were searched. 1,503 abstracts were screened, and 118 full-text articles were appraised to determine whether they met inclusion criteria. Two authors independently screened search results and assessed risk of bias using a modified version of the Quality in Prognostic Studies tool.

RESULTS

Twenty-five studies met the inclusion criteria. Overall, no included studies demonstrated a low risk of bias, two studies were identified as moderate risk, and twenty-three studies were identified as high risk. Conflicting results were reported amongst studies investigating associations of fast bowling kinematics and kinetics, trunk and lumbar anatomical features, anthropometric traits, age, and neuromuscular characteristics with low back pain and lumbar spine injury.

CONCLUSION

Inconsistencies in results may be related to differences in study design, injury definitions, participant characteristics, measurement parameters, and statistical analyses. Low back pain and lumbar spine injury occurrence in fast bowlers remain high, and this may be due to an absence of low bias studies that have informed recommendations for their prevention. Future research should employ clearly defined injury outcomes, analyse continuous datasets, utilise models that better represent lumbar kinematics and kinetics during fast bowling, and better quantify previous injury, lumbar anatomical features and lumbar maturation.

TRIAL REGISTRATION

Open Science Framework https://doi.org/10.17605/OSF.IO/ERKZ2 .

摘要

背景

快速投球手的腰椎损伤在板球运动中导致的缺赛时间最长。一系列外在和内在变量被认为与快速投球手的腰痛和腰椎损伤有关，而深入了解内在变量很有必要，因为这些变量可能会改变与快速投球相关的负荷耐受性和受伤风险。本综述对报告快速投球手中与腰痛和腰椎损伤相关的内在变量的研究进行了批判性评估，并确定了未来的研究方向。

方法

于2022年6月3日最后一次检索OVID Medline、EMBASE、SPORTDiscus、CINAHL、Web of Science和SCOPUS数据库，以识别调查板球快速投球手中与腰痛和腰椎损伤相关的内在变量的研究。检索了与板球快速投球相关的术语，以及与快速投球手中腰椎损伤和腰痛相关的内在变量。筛选了1503篇摘要，并对118篇全文进行评估，以确定它们是否符合纳入标准。两位作者独立筛选检索结果，并使用预后研究质量工具的修改版评估偏倚风险。

结果

25项研究符合纳入标准。总体而言，纳入的研究均未显示低偏倚风险，两项研究被确定为中度风险，23项研究被确定为高风险。在调查快速投球的运动学和动力学、躯干和腰椎解剖特征、人体测量学特征、年龄以及神经肌肉特征与腰痛和腰椎损伤之间关联的研究中，报告的结果相互矛盾。

结论

结果的不一致可能与研究设计、损伤定义、参与者特征、测量参数和统计分析的差异有关。快速投球手中腰痛和腰椎损伤的发生率仍然很高，这可能是由于缺乏低偏倚研究为预防这些损伤提供建议。未来的研究应采用明确界定的损伤结局，分析连续数据集，使用能更好地反映快速投球过程中腰椎运动学和动力学的模型，并更好地量化既往损伤、腰椎解剖特征和腰椎成熟度。